Armodafinil
Medically reviewed by Dr. Sofia Lindqvist, · Last reviewed 11 August 2026
Armodafinil is the isolated R-enantiomer of modafinil, sold as Nuvigil and approved by the FDA in 2007.
Modafinil is a racemic mixture: equal parts of two mirror-image forms of the same molecule, designated R and S. Armodafinil is the R form alone. Same molecular formula, same molecular weight, different stereochemistry.
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Why the difference matters
The two enantiomers clear at different rates. The R form has a half-life three to four times longer than the S form.
Removing the S form therefore changes the shape of the concentration curve without changing the terminal half-life. Modafinil declines biphasically, with an early rapid drop as the S isomer clears. Armodafinil declines in a single smooth phase, because there is no S isomer to lose.
Approved uses
The same three indications as modafinil: narcolepsy, excessive sleepiness associated with obstructive sleep apnea on adequate primary treatment, and shift work disorder.
Dosing
| Modafinil | Armodafinil | |
|---|---|---|
| Standard dose | 200 mg once daily | 150 mg once daily |
| Isomers present | R and S | R only |
| Decline pattern | Biphasic | Monophasic |
| Terminal half-life | ~15 hours | ~13 hours |
| Interchangeable? | No — not bioequivalent | No — not bioequivalent |
Because the two did not meet FDA bioequivalence criteria, they are not interchangeable at equal milligram doses. Any switch involves a dose change made by a prescriber.
Safety
The adverse event profile and the drug interactions are broadly the same as modafinil, which follows from their being the same molecule. That includes the serious dermatological reactions, the psychiatric warnings, the cardiovascular cautions, and the CYP3A4 interaction with hormonal contraceptives.
Postmarketing data for armodafinil has included fatalities associated with drug hypersensitivity, including DRESS.